Migration intentions of Lithuanian physicians, nurses, residents and medical students

Health Policy. 2018 Oct;122(10):1126-1131. doi: 10.1016/j.healthpol.2018.07.001. Epub 2018 Jul 6.

Abstract

Due to a flow of healthcare professionals and students from emerging to industrialized economies, healthcare systems in source countries are facing increasing threats to a people-centered quality of care. This study investigates the prevalence and underlying reasons for emigration intentions among physicians, nurses, residents, and medical students in Lithuania (total N = 1080). In our sample, 39% of students, 21% of residents, 12% of nurses, and 6% of physicians had decided to emigrate within the next two years. Based on statistical analyses of the survey data, we conclude that emigration decisions are linked to socio-demographic (age, gender, family situation), financial, organizational (teamwork climate in hospital) and social (perceived social worth) factors. Implications for policy-making and retention of healthcare workforce are discussed.

Keywords: Human resources; Migration intentions; Retention; Social worth; Teamwork climate.

MeSH terms

  • Adult
  • Emigration and Immigration*
  • Family
  • Female
  • Humans
  • Intention*
  • Internship and Residency / statistics & numerical data
  • Lithuania
  • Male
  • Middle Aged
  • Nurses / psychology*
  • Physicians / psychology*
  • Socioeconomic Factors
  • Students, Medical / psychology*
  • Surveys and Questionnaires